Individual provider · Type 1 NPI
Lillie Maldonado
Addiction (Substance Use Disorder) Counselor · Stroudsburg, PA
NPI number
1881044220
Active
Practice location
804 Sarah St Ste 305
Stroudsburg, PA 18360-1739
Fax (570) 422-6524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 457047 (PA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18746 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1881044220
Lillie Maldonado's National Provider Identifier is 1881044220, issued on Jun 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stroudsburg, PA. The record was last updated on Jun 16, 2016.